Georgia County Government - Winter 2015 - (Page 39)
sPecIAl Focus: HeAltH & HuMAn servIces
dealinG WitH tHe
a Look at the Cobb and douglas Community services Board's Health Center
By Bryan Stephens, Interim Director
Cobb/Douglas Community Service Board
IN NORTH GEORGIA, there is no state mental
hospital. Northwest Georgia Regional was
closed in the summer 2011. Since that time,
any individual without insurance who needs
behavioral health services has gone to a state
contracted bed in private hospitals, or one
of the stabilization units run by Community
Services Boards. The goal of the state is to
treat these individuals closer to home.
Construction was completed on a new
Behavioral Health Center in Cobb County
in summer 2015. The Cobb and Douglas
Community Services Board (CDCSB) built
the $6.4 million health center on County
Services Parkway near the Cobb Adult
Detention Center. The facility was funded by
the Georgia Department of Behavioral Health
and Developmental Disabilities.
Community Services Boards are the
safety net providers for mental health,
substance abuse and developmental disabilities. Twenty-six CSB's contract with
the Department of Behavioral Health and
Developmental Disabilities to provide services across the state. The Cobb and Douglas
CSB provide services for the citizens in Cobb
and Douglas counties, and some of Cherokee
and Paulding counties.
The Cobb and Douglas Community Services
Board provides a wide variety of services
to meet the needs of its clients. The lowest
impact services are typical outpatient services for Mental Health and Substance Abuse.
In three clinics, individuals can come in for
psychiatric treatment as well as individual
and group therapy. Other programs provide
more intensive services, such as daily groups
and psychosocial rehabilitation for mental
illness and day centers for developmental
disabilities. More intensive services include
three levels of mental health case management, including the highest level of community
services, assertive community treatment.
CDCSB has a robust supportive housing
program for both mental health and substance
abuse. In Cobb and Douglas counties, there
are over 150 apartments. CDCSB prides itself
in serving clients in a dual diagnosis home
for mental health and substance abuse, an
intensive treatment residence, and several
clients in community improvement homes.
Cobb also houses one of two residential adolescent treatment facilities for Substance
Abuse in the State of Georgia. It supports
several developmental disability host homes,
where individuals can live in a family environment instead of a group home.
Thanks to a progressive approach by Cobb
County, CDCSB contracts to place eight
staff, including a full time psychiatrist into
the Cobb Adult Detention Center. The county
serves 500 individuals a month with mental
Part of the plan for the new health center, is to divert clients from the emergency
rooms and jails in Cobb and Douglas counties. The goal is to serve less individuals
behind bars, and more in the community.
This center will transform how CDCSB conducts business.
The 22,000-square-foot facility will have
the capacity for walk-in treatment services
for adults, referrals from hospitals, and direct
admits from CDCSB outpatient services. The
Mainstreet area of the facility is where individuals will have their strengths and needs
assessed to form a course of treatment. If
the individuals clearly do not need immediate
services, they can be opened and referred into
CDCSB outpatient services the same or next
day, or to another service provider.
For individuals with more needs, there is
The Boulevard, with six, 23-hour observation beds. Like a hospital cardiac observation
unit, The Boulevard will allow staff to monitor
individuals who need some immediate care.
Some of these individuals will be discharged
to outpatient services, and some will transition into the acute care unit, The Avenue.
The Avenue hosts 24 beds and is a short
term residential treatment unit. Individuals
will remain with staff from for 3-6 days to
recover from their acute crisis, be it a mental health issue such as suicidal ideation, or
detoxing from alcohol or drugs.
Whether someone is admitted to The
Boulevard or Avenue, social work staff will
assist the individual and provide them a link to
services within CDCSB or another provider.
There are four additional beds on The Avenue
that are transition beds. These are used for
individuals who are done with acute treatment,
but still do not have a place to go that will help
with their recovery. During the day, they will
go to outpatient groups, and return for a safe
place to stay and work on finding a placement.
Let's follow a client or two through the process. Sue is single, just lost her job, and suffers from depression. Sue does not have any
insurance, is worried about losing her housing,
and is contemplating suicide. She hears about
Winter 2015 www.accg.org
Table of Contents for the Digital Edition of Georgia County Government - Winter 2015
ACCG District Days
The Impact of Body Worn Cameras
Georgia House Bill 310: What it Really Means to Local Governments and Communities
Mobile Integrated Healthcare/ Community Paramedicine – In your County’s Future?
Q & A With Dr. Jill Mabley, Medical Director of Cherokee County Fire & EMS
Three Technologies Improve Efficiencies in Georgia County Jails and Courts
Counties and Inmate Medical Assistance
Dealing with the Mentally Ill in Jails
News & Notes
Index of Advertisers
Georgia County Government - Winter 2015